Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,001.22 / $4,277.00 / $7,119.04	Facility		$1,001.22	$4,277.00	$7,119.04
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,119.68 / $1,119.68 / $1,119.68	Facility	50	$1,119.68	$1,119.68	$1,119.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.24 / $221.66 / $798.00	Professional		$136.24	$221.66	$798.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $290.52 / $1,004.00 / $1,582.50	Professional	50	$290.52	$1,004.00	$1,582.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.31 / $409.57 / $584.33	Professional		$293.31	$409.57	$584.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.83 / $278.99 / $480.71	Professional		$120.83	$278.99	$480.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $275.20 / $392.51 / $1,387.80	Facility		$275.20	$392.51	$1,387.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $240.83 / $439.58 / $1,506.00	Professional		$240.83	$439.58	$1,506.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $226.83 / $319.69 / $526.92	Facility		$226.83	$319.69	$526.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $258.74 / $377.21 / $548.86	Professional		$258.74	$377.21	$548.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $394.70 / $541.40	Professional		$4.00	$394.70	$541.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,607.00 / $2,126.00	Facility		$1,204.00	$1,607.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $213.21 / $381.92 / $603.53	Professional		$213.21	$381.92	$603.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $254.10 / $298.89 / $448.00	Professional		$254.10	$298.89	$448.00